Dr. Arthur L. Caplan and Dr. Stella K. Kang.
Photo: Bud Glick
What happens if a CT scan for abdominal pain turns up a lesion on the kidney? At first blush, it would seem the doctor has an obligation to tell the patient, and follow up with more tests and procedures.
But 鈥渋ncidental findings鈥濃攖hose unrelated to the initial purpose of an imaging test鈥攃an lead to overtreatment of a benign abnormality, which can have significant financial, psychological, and clinical consequences.
鈥淭hey get managed aggressively even though there is a 1 out of 1,000 chance they pose a threat,鈥 says , assistant professor in the departments of and at 秘密研究所 Langone, tells The Wall Street Journal.
Dr. Kang and , the Drs. William F. and Virginia Connolly Mitty Professor of Bioethics in the Department of Population Health, discuss in a Journal of the American College of Radiology paper why in some cases it may not be beneficial for a patient to know about minor, low-risk findings.
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